TY - JOUR
T1 - Sustainable surgical resource initiative for Haiti
T2 - the SSRI-Haiti project
AU - the SSRI-Haiti Project Group Contributors
AU - Frechette, Richard
AU - Colas, Nathalie
AU - Augustin, Marc
AU - Edema, Nathalie
AU - Pyram, Gerson
AU - Louis, Stanley
AU - Crevecoeur, Carl Eric
AU - Mathurin, Carmeline
AU - Louigne, Raphael
AU - Patel, Bhavesh
AU - Humphreys, Mitchell
AU - Chapital, Alyssa
AU - Martin, Mallory
AU - Ayoub, Qamarissa
AU - Hottinger, Daniel
AU - McCurdy, Michael T.
AU - Tran, Quincy
AU - Skupski, Richard
AU - Zimmer, Donald
AU - Walsh, Mark
N1 - Publisher Copyright:
© 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
PY - 2023
Y1 - 2023
N2 - In response to the 2010 earthquake and subsequent cholera epidemic, St Luke’s Medical Center was established in Port-au-Prince, Haiti. Here, we describe its inception and evolution to include an intensive care unit and two operating rooms, as well as the staffing, training and experiential learning activities, which helped St Luke’s become a sustainable surgical resource. We describe a three-phase model for establishing a sustainable surgical centre in Haiti (build facility and acquire equipment; train staff and perform surgeries; provide continued education and expansion including regular specialist trips) and we report a progressive increase in the number and complexity of cases performed by all-Haitian staff from 2012 to 2022. The results are generalised in the context of the ‘delay framework’ to global health along with a discussion of the application of this three-phase model to resource-limited environments. We conclude with a brief description of the formation of a remote surgical centre in Port-Salut, an unforeseen benefit of local competence and independence. Establishing sustainable and collaborative surgery centres operated by local staff accelerates the ability of resource-limited countries to meet high surgical burdens.
AB - In response to the 2010 earthquake and subsequent cholera epidemic, St Luke’s Medical Center was established in Port-au-Prince, Haiti. Here, we describe its inception and evolution to include an intensive care unit and two operating rooms, as well as the staffing, training and experiential learning activities, which helped St Luke’s become a sustainable surgical resource. We describe a three-phase model for establishing a sustainable surgical centre in Haiti (build facility and acquire equipment; train staff and perform surgeries; provide continued education and expansion including regular specialist trips) and we report a progressive increase in the number and complexity of cases performed by all-Haitian staff from 2012 to 2022. The results are generalised in the context of the ‘delay framework’ to global health along with a discussion of the application of this three-phase model to resource-limited environments. We conclude with a brief description of the formation of a remote surgical centre in Port-Salut, an unforeseen benefit of local competence and independence. Establishing sustainable and collaborative surgery centres operated by local staff accelerates the ability of resource-limited countries to meet high surgical burdens.
KW - Haiti
KW - Surgical procedures
KW - general anesthesia
KW - global surgical training
KW - medical missions
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U2 - 10.1080/16549716.2023.2180867
DO - 10.1080/16549716.2023.2180867
M3 - Article
C2 - 36856725
AN - SCOPUS:85149428048
SN - 1654-9716
VL - 16
JO - Global Health Action
JF - Global Health Action
IS - 1
M1 - 2180867
ER -